In caring for a patient who has a pouching for a noncontinent urinary diversion, which nursing intervention is essential?
a. Empty the pouch when it is one-third to one-half full.
b. Remove the ureteral stents after 2 days.
c. Pouch the stoma with the patient sitting up.
d. Dispose of used pouches in the toilet.
A
Empty pouches when they are one-third to one-half full so that the weight of the pouch does not disrupt the seal. A surgeon places the stents; these will be removed during the hospital stay or at the first postoperative visit with the surgeon. Place the patient in a semi-reclining position. If possible, provide the patient a mirror for observation. Properly dispose of used pouches and soiled equipment according to facility policy.
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The nurse, caring for a patient with obstructive shock because of a pulmonary embolism, would implement which of the following orders FIRST?
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A client is receiving antiemetic therapy for a history of frequent nausea and vomiting. In caring for this client the nurse should:
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When caring for Mr. Rubens, the nursing assistant notices that he has several pill bottles in the drawer of his bedside table. What should the nursing assistant do?
A. Report the situation to the supervising nurse immediately. B. Ask Mr. Rubens's wife what to do with the pill bottles. C. Allow Mr. Rubens to have privacy with his personal belongings. D. Remove the bottles without saying anything to Mr. Rubens.